Little Hands of Grace

A licensed child care center in Pflugerville, Texas 78660

19507 FM 685, Pflugerville, Texas 78660. (512) 720-8026.

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

Record last released by Texas HHSC on Oct 30, 2026.

8 deficiencies cited in the last three years Middle in Travis County: 3
0 rated High by Texas, its most serious level
6 inspections on record
Not rated Texas Rising Star rating

The last 24 months 8 deficiencies in 4 months of the last 36. Last cited Sep 2025. Most serious: Medium High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5

Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels: Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status: Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

8 deficiencies cited in the last three years

The middle of the 624 child care providers in Travis County had 3.

6 inspections on record. The latest, on Sep 9, 2026: no violation found.

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Oct 30, 2026. Updated daily.

When those deficiencies happened

8 deficiencies in 4 months of the last 36. Last cited Sep 2025. Most serious: Medium High. The last 3 years, to Oct 30, 2026.

8 deficiencies by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023											Nov	Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Texas HHSC, deficiencies (non-compliance data). Released Oct 30, 2026. Updated daily.

Sep 23, 2025: inspection1 deficiency

Food Service and Preparation Requirement - Use Sanitary Holders

“Sanitary holder was not available for one child who was eating snack on the table. This was corrected when the caregiver provided the child with a napkin.”

Rule 746.3317(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 23, 2025.

May 12, 2025: report to the state1 deficiency

Parental Notification of Less Serious Injuries

“Based on the information provided, the parents were not adequately notified during pick up about an incident/injury their child sustained while in care. This was corrected when the parent reached out to the school later that day.”

Rule 746.307(c). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2025.

Oct 22, 2024: inspection3 deficiencies

Fire Drill Monthly - Exit in 3 Minutes

“The operation was not exiting the building during the fire drills in 3 minutes or less.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2024. Correction verified: Oct 24, 2024.
Inspect Fire Extinguishers Monthly

“The operation was not checking the fire extinguisher monthly. This was corrected at inspection when the provider checked the fire extinguisher during inspection.”

Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 22, 2024.
Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine

“One child’s immunization record did not have the signature (including a rubber stamp or electronic signature) of the health-care professional who administered the vaccine.”

Rule 746.623(2)(D). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2024. Correction verified: Oct 24, 2024.

Jan 24, 2024: inspection3 deficiencies

Safety - Electrical Outlets Covered

“One classroom and the Chapel had electrical outlets with children present under the age of five that were uncovered. This was corrected at inspection when all electrical outlets were covered by staff.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 24, 2024.
Administering Medication - Original Container with Child’s Name, Date

“Two children had allergy medication at the operation that was not in the original packaging.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2024. Correction verified: Jan 26, 2024.
Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee’s personnel record

“Six staff files did not include training certificates for training that was completed.”

Rule 746.1329(a). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2024. Correction verified: Jan 26, 2024.

3 deficiencies older than three years

Apr 4, 2023: inspection3 deficiencies

Children’s Records - Health Statement

“Two children did not have a health statement in their record.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2023. Correction verified: May 1, 2023.
Required Personnel Records- Meets Requirements

“One caregiver did not have proper documentation showing education. Diploma was someone else’s.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2023. Correction verified: Apr 5, 2023.
Required Admission Information - Date of Admission

“8 out of 8 childrens records did not have a date of enrollment listed on their enrollment forms”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2023. Correction verified: Apr 6, 2023.

All 7 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Sep 9, 2026	Inspection	No violation found
Sep 23, 2025	Inspection	1 deficiency cited
May 12, 2025	Report to the state	1 deficiency cited
Oct 22, 2024	Inspection	3 deficiencies cited
Jan 24, 2024	Inspection	3 deficiencies cited
Apr 4, 2023	Inspection	3 deficiencies cited
May 18, 2022	Inspection	No violation found

Is it licensed?

Licensed Center, permit issued Sep 19, 2016.
Licensed for ages: Toddler, Pre-Kindergarten, School.
Capacity: 75 children.

Texas HHSC, child care operations. Released Oct 30, 2026. Updated daily.

Has Texas acted against it?

No corrective or adverse action by Texas on record.
1 report to the state on record; Texas doesn’t publish whether they were .

Texas HHSC, child care operations and inspections and investigations. Released Oct 30, 2026. Updated daily.

Who does the caring?

Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

Texas’s open data doesn’t list owners.

How is it rated?

Not rated in Texas Rising Star.

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Oct 30, 2026. Updated daily.

How does it compare nearby?

Among 624 child care providers in Travis County, the middle value for deficiencies cited in the last three years was 3; this one had 8.

Texas HHSC, deficiencies (non-compliance data). Released Oct 30, 2026. Updated daily.

12 of the 624 in Travis County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Little Hands of Grace This child care provider	8
Immanuel Lutheran Day School	11
Pflugerville Montessori House	12
Pisd Riojas Elementary Extended Day Program	2
Pisd Barron Elementary Extended Day Program	5
Pisd Highland Park Elementary Extended Day Program	5
Pisd Murchison Elementary Extended Day Program	3
Pisd Rowe Lane Elementary Extended Day Program	5
Pisd Pflugerville Elementary Extended Day Program	3
Pisd Springhill Elementary Extended Day Program	4
Pisd Wieland Elementary Extended Day Program	4
Pisd Windermere Elementary Extended Day Program	10
Dione Lewis	2

What the record doesn’t say

Texas doesn’t publish whether a complaint was substantiated.
Texas rates some paperwork slips as High risk, so read what was actually cited.
Texas doesn’t publish staffing levels or owners for individual providers.

Sources

Texas Health and Human Services Commission, Child care operations (bc5r-88dy).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Workforce Commission, Subsidy providers and Texas Rising Star.

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. No licence stated.

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Oct 30, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.